How To Help People With A Medical Condition

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1 VA Southern Nevada Healthcare System Department of Veterans Affairs VA Desert Pacific Healthcare Network Monique S. Collier SFC, US ARMY RESERVE RETIRED MINORITY VETERANS PROGRAM COORDINATOR

2 Mission and Vision Mission To honor America s Veterans by providing exceptional health care that improves their health and well-being. Vision VHA will continue to be the benchmark of excellence and value in health care and benefits by providing exemplary services that are both patient-centered and evidence-based. This care will be delivered by engaged, collaborative teams in an integrated environment that supports learning, discovery and continuous improvement. It will emphasize prevention and population health and contribute to the Nation s well-being through education, research and service in national emergencies.

3 Core Values Integrity Commitment Advocacy Respect Excellence

4 Desert Pacific Health Care Network VASNHS is part of the Desert Pacific Health Care Network (VISN 22) VISN 22 also includes Long Beach, Loma Linda, Greater Los Angeles, and San Diego VA Health Care Systems

5 VA Southern Nevada Healthcare System New Comprehensive Medical Center

6 Primary Care Locations Northwest PCC Northeast PCC Pahrump CBOC Southwest PCC Southeast PCC

7 VASNHS Facilities Primary Care Northwest PCC Northeast PCC Southwest PCC Southeast PCC Mental Health / Other Psychosocial Rehab Recovery Center Community Rehab Recovery Center Special Programs Vet Centers (x3) Henderson Las Vegas Reno CBOCS Pahrump CBOC Inpatient Hospital and Surgery Clinics Mike O Callaghan Federal Medical Center (MOFMC) Business & Logistics Education Learning Center Rancho Courtyard (Human Resources) Northwest Core (Managed Care) Warehouses (x2)

8 Joint Venture Inpatient Services are currently provided through a VA/DoD Joint Venture at the Mike O Callaghan Federal Medical Center (MOFMC) Services include: General Surgery Podiatry Orthopedic Surgery Pre-Operative Clinic Vascular Surgery Inpatient Medicine/Surgery Inpatient ICU Inpatient Step Down Unit Emergency Department

9 Services at New Medical Center Medicine Women s Clinic and GYN Audiology Expanded program Cardiology Expanded program Cardiac Catheterization - New program Dermatology Expanded program Diabetes Clinic Expanded program Endocrinology Gastroenterology Expanded program Hematology/Oncology Expanded program Infusion Therapies Expanded program Infectious Disease Expanded program Nephrology and Renal Clinic Expanded program Dialysis 20+ stations New program Neurology Pain Management Clinic Expanded program Pulmonary Expanded program Rheumatology Clinics Rehabilitation Medicine Expanded program Physical Therapy Expanded program Speech Pathology New program Occupational Therapy - New program Prosthetics Expanded program Orthotics New program Brace Amputee Emergency/Admitting New program Occupational Medicine Endoscopy Suite (5 rooms) New program Sleep Studies New program Surgery General Surgery Plastic and Reconstructive - Expanded program Thoracic Expanded program Vascular Expanded program Orthopedics Expanded program Anesthesia Expanded program Operating Rooms (7) New program Cystoscopy Room New program Urology Expanded program ENT - Expanded program Podiatry Expanded program Optometry Expanded program Dental Expanded program Wound Care Hyperbaric Chambers New program Education, Research and Support Medical Library Expanded program Education- Expanded program Research Expanded program Canteen Food Court and Retail Store New program Administrative Services Executive Offices Human Resources - Expanded program Fiscal, Fee Basis - Expanded program Health Administration - Expanded program Facility Management - Expanded program Biomedical Engineering Expanded program Logistics - Expanded program Nursing Service - Expanded program SPD - Expanded program Voluntary Service Canteen Mental Health OIF/OIF Transition Team New program Addictive Disorders Program Mental Health Clinic Post Traumatic Stress Clinical Team Homeless Veterans Program Gambling Addiction Clinic Gero-Psychiatric Clinic Day Treatment Expanded program Chaplain Services - Expanded program Clinical Support Pharmacy Laboratory Clinical Pathology New program Blood Bank New program Diagnostic Imaging Services - Expanded program Radiographic/Fluoroscopic (4) Chest Room - New program CT (2) Expanded program Mammography (2) Expanded program MRI (1) New program Ultrasound (4) Expanded program Nuclear Medicine (3) Expanded program PET CT Scan New program Bone Densitometry (1) Interventional Angiography New program PACS - Expanded program Nutritional Medicine Clinical Dieticians Dietetics Inpatient Food Service New program Geriatric and Rehabilitation Clinics Geriatric Evaluation Management Clinic Geriatric Primary Care Clinic Falls Prevention Clinic Rehabilitation Clinic Home and Community programs Tele-Home Health Care - Expanded program Home Based Primary Care Adult Day Health Care Homemaker Home Health Aide Program Fee Basis Skilled Home Health Care Long Term Institutional Care Programs VA Community Living Center All areas are New programs Sub Acute/Interim Care = 20 Beds Alzheimer s/dementia Care = 20 Beds Inpatient Rehabilitation Care = 40 Beds Inpatient Hospice/Palliative Care = 20 Beds Extended Care - 20 Beds Services NOT Provided at New MC Radiation Oncology Neuro Surgery Cardio Thoracic Surgery Primary Care

10 Service Area Salt Lake City Nevada Utah California Nye Iron Washington Lincoln Mohave Arizona Other Los Angeles San Bernardino Los Angeles Clark Las Vegas Maricopa Yavapai Phoenix Orange Riverside San Diego Official catchment area is Clark, Lincoln, and Nye Counties, Nevada. VASNHS also treats patients from Arizona, California, Utah, as well as snow birds from the mid-west and East.

11 Key Demographics FY12 Demographic (Clark, Lincoln, & Nye Counties) Number % Southern Nevada Population 1 2,031,607 Veteran Population 2 161,645 VASNHS Enrollees 2 65,747 Patients Treated (Unique Veterans) 3 46,408 Outpatient Visits 4 522,800 Women Veterans 3 4, % OEF/OIF Veterans 5 6, % Data Sources 1 Nevada County Population Projections ( ), State Demographer 2 Data from VSSC Enrollment and Vet Pop Projections (BY11) Cube 3 Data from VSSC Unique Patients Cube PHI 4 Data from VSSC Outpatient Visits & Uniques 5 Data from VSSC Enrollment Projections by Special Conflict and Gender (BY11) Cube

12 Unique Veteran Population Growth FY06-FY12

13 Unique Veterans by Age - FY12

14 Unique Veterans by Priority - FY12

15 University of Nevada School of Medicine Internal Medicine Family Medicine Psychiatry Dietetics Nursing Social Work Nevada State College of Nursing Academic Affiliations Carrington College-Respiratory Therapy Medical Skills for Life- Phlebotomy Northeastern University-Pharmacy Community College of Southern Nevada/Sonography American Society of Health Pharmacists Touro University California College of Optometry Illinois College of Optometry Creighton University Pharmacy Family Practice Residency at Nellis AFB PIMA Institute- Pharmacy/Radiography

16 Future Planning Initiatives Continued opening of new medical center: 90 Inpatient Beds 120 Bed Community Living Center Admin & VBA space (open) Specialty clinics to meet 655,000 visits/year (open) Opened Basement, First, Second, & Third Floors Establishing an Outreach Clinic in Laughlin, NV Expansion of Pahrump Community Based Outpatient Clinic Plan to provided specialty care for St. George, UT

17 Patient Centered Care Implement a Patient Centered Care Model to make health care personalized, proactive, and patient-driven utilizing the Circle of Healing: Power of the mind Working Your Body Surroundings Personal Development Food & Drink Recharge Family, Friends, and Co-workers Sprit and Soul Ongoing training retreats for staff through New Employee Orientation Level Two retreats established for refresher training Patient Centered Care components incorporated into the design and operations of the new medical center Education playing a pivotal role in pursuit of customer-focused environment

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21 OUR TIME TO SERVE To care for him who shall have borne the battle and for his widow and his orphan President Lincoln

22 The Minority Veterans Program Coordinators

23 Purpose The MVPC position was implemented on April 25, 1995, by Former Department of Veterans Affairs Secretary Jesse Brown. The program was initiated to assist the facility Directors, and the Center for Minority Veterans, to assess and identify the needs of minority Veterans.

24 Minority Veterans Program Coordinators (MVPC s, Who and where are we?) Interdepartmental program (App. 300 coordinators collaterally assigned within VHA, VBA and NCA) Principal advisor to the facility Director Support and initiate activities that educate and sensitize internal staff to the unique needs of minority veterans Target and participate in outreach activities, educational and informational forums utilizing community networks Assist the CMV in disseminating information

25 Center for Minority Veterans WHO WE SERVE Specifically, these veterans include the following minority groups: Pacific Islander Asian American African American Hispanic/Latino Native American including American Indian, Alaska Native, Native Hawaiian

26 MVPC Responsibilities Promote the use of VA benefits, programs, and services by minority Veterans Support and initiate activities that educate and sensitize internal staff to the unique needs of minority Veterans Target outreach efforts to minority Veterans through community networks Advocate on behalf of minority Veterans by identifying gaps in services and make recommendations to improve service delivery within their facilities

27 Primary Goal The primary goal of this outreach initiative is to increase local awareness of minority Veteran related issues and develop strategies for eligible Veterans to increase participation in existing VA benefit programs.

28 VA BENEFITS AND BASIC ELIGIBILITY

29 BASIC ELIGIBILITY Discharged from active military service other than dishonorable. Served a minimum of 24 months if you entered after 9/7/1980 (enlisted) or after 10/16/1981 (officer). If a National Guardsman or Reservist, you were called to active duty (Presidential order) and served the entire period (not just for training purposes). Begin 1/16/2003, meet income tests.

30 Documentation VA will verify the veteran s eligibility by electronic method. VA will assist veteran in obtaining necessary documents if unable to verify. Acceptable documents: DD-214 Ceritifcate of Discharge

31 Veteran s Health Administration Financial Assessment

32 What Is A Means Test? (Financial Assessment) Mechanism for identifying a veteran s ability to defray VA medical care costs. Assessment of the veteran s previous calendar year gross household income (less VA allowable deductible expenses) and assets. (VA 1010EZR)

33 Financial Assessment Population Excludes: Compensable SC NSC pensioners POWs C&P exams Allied Beneficiaries Retired/discharge for disability Purple Heart recipients

34 Financial Assessment Population Who is required to complete a Means Test? Includes: NSC without special eligibility Non-compensable 0% SC

35 PRINCIPLES Valid for 365 days. Required on the veteran s first visit and renewal needed the first visit following expiration of the Financial Assessment. May be accomplished before the anniversary date if completed in a new calendar year.

36 What Does the Financial Assessment Determination Mean to the Veteran? Co-pay Exempt - eligible for cost-free VA health care and/or medications. Co-pay Required - Veteran has agreed to pay the VA deductibles for visits and/or medications Responsible for full co-pay for inpatient care and per diem for NSC conditions. GMT Co-pay Required Veteran has agreed to pay the VA deductibles (visits and medications). 20% of inpatient co-pay.

37 PRIORITY GROUPS CRITERIA 1. Service Connection: 0%-100% 2. Income: $12,256 -$30, Special Categories: Purple Heart, POW, Environmental, VA Pensions, OEF-OIF, Catastrophically Disabled

38 No co-payments for Visits Priority Groups: 1. Rated 50% or higher. 2. Rated 30%-40%. 3. Rated 10%-20%, POW, Purple Heart. 4. Aid and Attendance, Catastrophically Disabled. 5. VA Pension, NSC below threshold. 6. Environmental WWII, Korea, Vietnam, Gulf War, OIF-OEF Veterans.

39 Co-payments for Visits Priority Groups: 7. Above threshold, below Geographical Means Test. (Must agree to pay) 8. Above threshold. (Cannot be enrolled)

40 MEDICAL SERVICES Once Eligibility is established, the following medical services are available: Preventive services, including immunizations, screening tests, health education and training classes. Primary Health Care, including Diagnosis and Treatment. Surgery, including outpatient surgery.

41 MEDICAL SERVICES CONT. Mental Health and substance abuse treatment; Domiciliary. Home Health Care. Care Coordination Home Telehealth (CCHT). Respite, hospice care and palliative care. Urgent and limited emergency care services in VA facilities. Medications (as long as they have been prescribed by a provider employed by or under contract with the VA).

42 OTHER MEDICAL SERVICES Audio and Eye Exams: Open to all. Hearing Aides and Eyeglasses: Limited eligibility: Priority 1-4 or Service connected for hearing/vision. Nursing Home resident of the VA. Glasses broken or lost while under VA Care. Based on medical determination by Primary Care Provider

43 LIMITED MEDICAL SERVICES CONT Dental Limited Eligibility: You must be Service Connected for a dental condition Or 100% Service Connected for any medical condition Or former POW

44 LIMITED MEDICAL SERVICES CONT Dental Limited Eligibility Cont: Or Veterans who were not provided treatment within 90 days before separation and request care within 180 days from separation Or have a Service Connected condition that requires medication with dental side effects (determined by the VA dental professionals) Or Medical necessity

45 BENEFITS FOR OEF/OIF VETERANS Seamless Transition Case Management: Case managers at each campus will assist with questions, concerns and navigating the VA system.

46 Mental Health Services Depression Anxiety PTSD Grief/loss Substance abuse Adjustment to illness Interpersonal/life stress

47 PATIENT EDUCATION CLASSES Diabetes care High blood pressure care Healthy Heart class Lung disease class Stop Smoking class Healthy eating and exercise classes Aural Rehabilitation Class

48 VA Services are a Benefit IT IS NOT HEALTH INSURANCE YOU ARE COVERED FOR LIFE MEETS REQUIREMENT OF LAW TO HAVE HEALTH INSURANCE

49 Millennium (MILL) Bill Emergent Care 38 USC 1725 VA can authorize payment if veteran is: Financially Liable Enrolled and receiving care (24 Months) VA last resort payer Veteran has no other coverage VA facilities were not available Life threatening emergency No preference over VA facility Payment up to medical stabilization of veteran

50 VETERANS ID CARD (VIC) All Veterans need to get a new card. The Social Security Number and date of birth are no longer shown on the card. Your VIC can be presented at any VA across the nation. With your card, other VA facilities will have easier (but not instant) access to receive information regarding your eligibility status.

51 HOMELESS VETERANS PROGRAM Provides comprehensive medical, psychological and rehabilitation treatment for eligible veterans. VA domiciliary Community based Stand Downs

52 MyHealtheVet New Patient Orientation

53 CHAMPVA CHAMPVA is available to beneficiaries of all 100% service connected veterans. Provides medical care in civilian settings and in some cases at VA hospitals.

54 Questions